Provider Demographics
NPI:1174943088
Name:WRIGHT, COURTNEY BROOKE (BCBA)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BROOKE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 E PALM VALLEY BLVD
Mailing Address - Street 2:BLDG. A
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4619
Mailing Address - Country:US
Mailing Address - Phone:512-733-2800
Mailing Address - Fax:512-310-5697
Practice Address - Street 1:1516 E PALM VALLEY BLVD
Practice Address - Street 2:BLDG. A
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4619
Practice Address - Country:US
Practice Address - Phone:512-733-2800
Practice Address - Fax:512-310-5697
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst